van Oeffelen A A M, Agyemang C, Stronks K, Bots M L, Vaartjes I
Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, the Netherlands.
Neth J Med. 2014 Jan;72(1):20-7.
To study the age- and sex-specific incidence rates of first acute myocardial infarction (AMI) among first-generation ethnic minority groups (henceforth, migrant groups) and the Dutch majority population in the Netherlands during two time periods (2000-2004 and 2005-2010).
Through linkage of Dutch nationwide registers, first AMI events in the Dutch majority population and the major migrant groups living in the Netherlands were identified from 2000-2004 and 2005-2010. Absolute incidence rates were calculated within each age-sex-period-country of birth group.
Regardless of ethnic background, AMI incidence rates were higher in men than in women and increased with age. Incidence significantly declined over time among the Dutch majority population (men: -26.8%, women: -26.7%), and among most migrant groups under study. It was only in Moroccan migrants that AMI incidence significantly increased over time (men: 25.2%, women: 41.7%). Trends differed between age categories, but did not show a consistent pattern. The higher AMI incidence in Surinamese men and women and Turkish and Indonesian men compared with the Dutch majority population persisted over time, but decreased with age and became absent after 70 years of age. Moroccans had a significantly lower incidence compared with the Dutch majority population during 2000-2004, which disappeared during 2005-2010.
Primary preventive strategies should focus on Surinamese men and women and Turkish and Indonesian men below 70 years of age. Future research is necessary to unravel the factors that provoke the increasing AMI incidence over time among Moroccans.
研究第一代少数族裔群体（以下简称移民群体）和荷兰多数人口在两个时间段（2000 - 2004年和2005 - 2010年）首次急性心肌梗死（AMI）的年龄和性别特异性发病率。
通过荷兰全国登记系统的链接，确定了2000 - 2004年和2005 - 2010年荷兰多数人口以及居住在荷兰的主要移民群体中的首次AMI事件。在每个年龄 - 性别 - 时间段 - 出生国家组内计算绝对发病率。
无论种族背景如何，男性的AMI发病率均高于女性，且随年龄增长而增加。荷兰多数人口（男性：-26.8%，女性：-26.7%）以及大多数研究中的移民群体的发病率随时间显著下降。只有摩洛哥移民的AMI发病率随时间显著增加（男性：25.2%，女性：41.7%）。不同年龄类别之间的趋势有所不同，但没有呈现出一致的模式。与荷兰多数人口相比，苏里南男性和女性以及土耳其和印度尼西亚男性的较高AMI发病率随时间持续存在，但随年龄下降，70岁后消失。2000 - 2004年期间，摩洛哥人的发病率与荷兰多数人口相比显著较低，而在2005 - 2010年期间这种差异消失了。
一级预防策略应侧重于70岁以下的苏里南男性和女性以及土耳其和印度尼西亚男性。未来有必要进行研究以揭示导致摩洛哥人AMI发病率随时间增加的因素。
